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°F'�O10 <br /> COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> * COAL INSPECTION REPORT <br /> *1876 x <br /> MINE NAME: &.4R, ho. 3 MIIVE ADDRESS: <br /> OPERATOR: /JE/R COAL Ct3M PA W n2 COAL C0fn Pfi N V <br /> PERMITTEE: — SAfr%E — P © <br /> COUNTY: G-t✓�VMI SUId Pz9QA,, <br /> TYPE OF OPERATION: SURFACE UNDERGROUND LOADOUT <br /> OWNERSHIP: FEDERAL NON-FEDERAL <br /> PERMIT STATUS: AC=Active,AP=Application in Review, CO=Under Cease Order, <br /> IN=Inactive/Phase II Release, PC=Permanent Cessation, RV=Revoked, <br /> SU=Suspended,TC=Temporary Cessation, OR=Other <br /> [C] MINE ID OR EXPLORATION ID NO. C - g - 0 3 - <br /> [C] INSPECTION DATE <br /> [C] INSPECTOR'S INITIALS <br /> [C] TIME OF DAY(MILITARY TIME) S 3 <br /> [C] INSPECTION TYPE CODE C_ P CC=Coal-Complete, CP=Coal-Partial CX=Coal <br /> Exploration,AI=Aerial, IL=Illegal Operation <br /> POST INSPECTION CONTACTS N O NO=None, BL=USBLM, CE=US Corps of <br /> Engineers,CH=Colo Health Dept, CL=Colo Land <br /> JOINT INSPECT. AGENCY CODE IQ O Board,CT=Citizen, CW=Colo Wildlife, DE=U.S. <br /> Energy, DW=US Wildlife, FS=U.S. Forest Service, <br /> HW=Colo Highway Dept, OS=OSM,SE=State <br /> Engineer(Water Resources) <br /> [C] REASON FOR INSPECTION CODE EE' AG=Other Agency Request, CT=Citizen Complaint, <br /> FU=TDN Follow-up, IE=Normal I&E Program, <br /> MU=Memo of Understanding, OF=OSM Special Focus, <br /> ON=OSM NOV Follow-Up, OS=OSM Oversight, <br /> PR=Pre-operational, SI=Surety Release, SR=Surety <br /> Related <br /> [C] Inspector did_ did not n receive documents during this Inspection. (If any documents were received, <br /> provide a narrative and a list of the documents in Section III of this report.) <br /> COMPANY REPRESENTATIVE PRESENT <br /> /V ® JU E f� P E S E N _ <br /> CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) /� �(Date) <br /> INSPECTOR'S SIGNATURE <br /> [� ( te) <br /> [C] WEATHER CODE C CL=Cloudy, CR=Clear, FG=Foggy, RN=Raining, <br /> SN=Snowing,WID=Windy <br /> INSPECTION REPORT ISSUANCE DATE <br /> NOTE: [C] = Required Entry <br /> WHITE-File YELLOW-Operator PINK-Specialist <br />